The Questions You Want Answered

Laser treatments for acne scars can lead to smoother, clearer skin—but do they really work? You might be wondering if the results are permanent, how much improvement you can realistically expect, and whether it’s worth the investment. Let’s break it down so you can make an informed decision.

The Real Results You Can Expect

.Laser treatments can significantly reduce the appearance of acne scars, but they won’t make them vanish overnight. The degree of improvement depends on the type and severity of your scars, your skin type, and the laser used.

While some patients see major improvements after just one session, most will require multiple treatments to achieve their desired results. The key benefit of laser therapy is collagen stimulation, which helps smooth out scars over time

• Before/After Examples: Patients often see a noticeable improvement in texture and tone after multiple sessions. Photos of treated skin typically show a reduction in scar depth, smoother contours, and a more even complexion overall.
• Permanent vs. Temporary Changes: Lasers stimulate collagen production for long-term skin remodeling, and the results are typically permanent.

The Scars That Respond Best

• Not all acne scars are created equal. The type of scarring you have plays a major role in how well laser treatments will work.

  • • Ice Pick Scars: These deep, narrow scars can be improved but may require multiple sessions or combination treatments. Since they extend deep into the skin, fractional lasers or ablative CO2 lasers tend to work best.
    • Boxcar Scars: Defined edges make these scars more responsive to lasers, especially fractional lasers. The skin surrounding these scars can regenerate more easily with collagen stimulation, leading to visible improvement.

When Lasers May Not Work

There are cases where laser treatments might not be the best option.

• If you have active acne the Accure laser may be recommended as a first step prior to treating the scars.
• If your scars are still actively inflamed or if you have a history of keloid formation, lasers may not be suitable. Inflamed or infected skin can react poorly to laser treatment, potentially making the condition worse. If you have active acne the Accure laser may be recommended as a first step prior to treating the scars.
• Combined Treatments: We may recommend pairing lasers with other treatments for the best outcome. For example, combining laser therapy with radiofrequency with microneedling may be recommended.

The Right Treatment for You

Laser and Energy-Based Options That Work

Different laser types target different scar types and come with varying pain levels and recovery times.

• eCO2 and Erbium-YAG: Best for deep scars like ice pick and boxcar scars; higher pain level; longer downtime (~7 days). This ablative laser removes layers of damaged skin, triggering a strong healing response.
• Fraxel and Avava Miria: Great for mild to moderate scars; 1-7 days of downtime. This fractional non-ablative laser works by creating micro-injuries that stimulate collagen without removing the top layer of skin.
• LaseMD Ultra: Best for pigmentation and superficial scars; minimal pain; 1-3 days of downtime. This gentle laser is ideal for improving skin tone and texture without significant recovery time.
• Radiofrequency with Microneedling: Best for tightening skin, reducing wrinkles, minimizing acne scars, and improving overall skin texture and tone.
• Vbeam: Best for treating redness, rosacea, broken capillaries, spider veins, and certain types of scars and birthmarks.

Combination Therapy: These treatments are often combined to provide the best possible outcome.

Risks You Should Know

Before booking a laser treatment, consider the potential downsides.

• Common Side Effects: Redness, swelling, temporary darkening or lightening of the skin. While these effects usually subside within a few days, some patients experience prolonged redness or peeling.
• Skin Type Considerations: Those with darker skin tones may have a higher risk of pigmentation issues and should opt for lasers designed for their skin type. Non-ablative lasers or lower-energy settings may be safer for darker skin.
• When to Wait: If you have active breakouts or are on certain medications, laser treatment may need to be postponed. Treating active acne first can prevent complications such as prolonged inflammation or scarring.

The Treatment Process Explained

The Steps to Expect

A typical laser treatment follows a set process:

1. Consultation: Dr. Geronemus will assess your skin and recommend the best laser.
2. Preparation: Numbing cream is applied (for most lasers) to minimize discomfort.
3. Treatment: The laser is applied in pulses over the affected areas. The procedure typically lasts between 15-45 minutes, depending on the area treated.
4. Pain Management: Mild discomfort to moderate pain, depending on the laser used. Cooling devices and post-treatment serums help reduce irritation.
5. Immediate Aftermath: Skin may appear red, swollen, or slightly scabbed. It’s crucial to follow aftercare instructions to prevent complications.

The Recovery Timeline

Healing varies by treatment type and the device that is utilized. Most procedures are non-invasive and have limited recovery time.

Common Concerns:

• Hyperpigmentation (especially in darker skin tones)
• Temporary rough texture
• Sensitivity to sun exposure

The Patient Guide You Need

The Steps to Prepare

• Avoid sun exposure and tanning before treatment to minimize the risk of hyperpigmentation.
• Stop using retinoids or exfoliants a week before to prevent excess irritation.
• Stay hydrated and maintain a gentle skincare routine to support healing.

The Questions to Ask

• Which laser or technology is best for my skin and scars?
• How many sessions will I need to see results?
• What are the risks for my skin type?
• What’s the aftercare process, and how can I optimize my healing?
• What is the experience, background and training of the person performing the procedure?

The Best Place to Book in NYC

If you’re looking for top-tier acne scar laser treatments in NYC, consider specialists like Dr. Ron. Geronemus in New York City, known for offering eCO2, Sciton Halo, Fraxel, Avava, and LaseMD Ultra treatments.

Schedule a Consultation with Dr. Geronemus Today

Give your child a head start with early intervention and treatment. For the best care possible, trust the leading expert in port wine birthmark treatment. Give our office a call today at 212.663.0400 to schedule a visit.

Dr. Geronemus is one of the world’s leading experts in the treatment of port wine birthmarks, renowned for his pioneering contributions to the development of lasers used for these treatments. He has also created many of the techniques used to treat these birthmarks and the protocols dermatologists use to achieve the best possible outcomes for patients.

Dr. Geronemus has made significant advancements in the field, including innovative treatments for newborns. His contributions to the field also extend to his practice, where he treats patients with cutting-edge technology in a comfortable, state-of-the-art outpatient facility.

His extensive published research and international lectures further solidify his expertise. Patients from across the country and around the world seek his care. In 2024, the Vascular Birthmark Foundation honored him with a Lifetime Achievement Award in recognition of his outstanding contributions.